Amanda Nicole Baskerville, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD61318724 Issued in WA

Practice address

Madigan Annex, E Johnson St
Building 9911C, Ramp 2
Joint Base Lewis-McChord, WA 98433

Phone

(253) 968-3431

NPI assigned

Jul 12, 2022

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649904939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "MADIGAN ANNEX, E JOHNSON ST",
            "address_2": "BUILDING 9911C, RAMP 2",
            "city": "APO",
            "state": "AA",
            "postal_code": "98433",
            "telephone_number": "253-968-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ANNEX, E JOHNSON ST",
            "address_2": "BUILDING 9911C, RAMP 2",
            "city": "JOINT BASE LEWIS-MCCHORD",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-968-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61318724",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD61318724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Barre
• David Barry
• Madalyn Quinn Bartels, DO
• Kyle Bartol, DO
• Shawn Christopher Basinger, DVM
• Jessica Elen Basso, MD
• Ian R Bastian, MD
• Guy Dean Bateman, PH.D.
• Lisa Beach, PA
• Michael Beck, LMFT

• Audiologist in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.